Active NPI
Nicole Rae Butcher, OTR/L
- Occupational Therapist
- West Dundee, IL
National Provider Identifier
1790485696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.013990
- Practice address
- 732 Green Castle CT
West Dundee, IL 60118-3316 - Phone
- (224) 715-3328
- NPI assigned
- Mar 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.013990 | IL | Primary |
Addresses
Primary practice location
732 Green Castle CT
West Dundee, IL 60118-3316
Mailing address
732 Green Castle CT
West Dundee, IL 60118-3316
Phone (224) 715-3328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.013990 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1790485696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 GREEN CASTLE CT",
"city": "WEST DUNDEE",
"state": "IL",
"postal_code": "601183316",
"telephone_number": "224-715-3328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 GREEN CASTLE CT",
"city": "WEST DUNDEE",
"state": "IL",
"postal_code": "601183316",
"telephone_number": "224-715-3328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTCHER",
"first_name": "NICOLE",
"middle_name": "RAE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-08",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.013990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Dundee, IL
- Angela R Black Childers, L.C.S.W.
- Bodyworks Medical Center of WD PLLC
- Bodyworks Medical Center of West Dundee PLLC
- Erin Bracken, LCSW
- John J Buckley, LCPC
- Jasmin Buthman, APRN
- Center for Chiropractic Medicine, LTD
- Center for Study Gu Diseases
- Chiropractic Family Health Clinic WD LLC
- Hyun Jung Choi, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.